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Translating Evidence-Based Care in a State Waiver Program to Reduce Transitions
Gerontological Society of America (2014)
  • Sandra Spoelstra, Grand Valley State University
Disability reflects a gap between an individual’s abilities and the environment in which they function, and is the primary modifiable factor in preventing institutionalization. We report on a pilot study testing dissemination and implementation of a proven intervention, intervening directly on pain, medication management, strength and balance, depression and the home environment, in the State of Michigan waiver program to reduce re-institutionalization. We are enrolling 20 clients who were hospitalized or nursing home within the past 14-days, and providing the intervention plus usual waiver services. We will compare those 20 to a match (age, race, gender) cohort from 2012 who were in the hospital or nursing home and received usual waiver service. Our key outcome of interest is re-institutionalization (hospital or nursing home). Our hypothesis is that low-income disabled older adults who receive the intervention plus usual care will manifest fewer readmissions. Enrollment is ongoing. Findings will be presented.
Publication Date
Fall 2014
Citation Information
Sandra Spoelstra. "Translating Evidence-Based Care in a State Waiver Program to Reduce Transitions" Gerontological Society of America (2014)
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